Individual
STANFORD SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
10040 HILLVIEW DR, PENSACOLA, FL 32514-5499
(850) 474-7057
Mailing address
10040 HILLVIEW DR, PENSACOLA, FL 32514-5499
(850) 474-7057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11029
FL
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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